Can men with azoospermia still have children?

Patient's question:

Can men with azoospermia still have children? We have been married for a long time without getting pregnant, and we always thought it was my wife's problem. Recently, I went to the hospital for a check-up, and the doctor said my sperm count is low. I would like to ask if it is still possible to have children with azoospermia?

Doctor's answer:

Hello, azoospermia can be divided into two major categories. The first category is testicular germ cell dysfunction, where sperm cannot be produced, also known as true azoospermia. The second category is normal testicular sperm production function, but with obstructed spermatic ducts, preventing sperm from being expelled outside the body, known as obstructive azoospermia. Azoospermia generally has no clinical symptoms or signs. Some patients have a history of conditions such as prostatitis, seminal vesiculitis, epididymitis, or epididymal tuberculosis. Some patients have local signs like testicular hypoplasia, testicular atrophy, or epididymal nodules, along with other systemic symptoms. It is recommended that you visit a formal male infertility hospital and receive treatment under the guidance of a doctor. Wishing you good luck with your pregnancy!

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